NPI | 1265953061 |
---|---|
Doing Business As | SPINECARE FRIDLEY, PC |
Entity Type | Organization |
Authorized Contact | ROSS ALAN BERTILSON Owner 763-439-4623 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MN 3269) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2022-07-21 |